Los Angeles daily herald., 1887-06-14
G A T A r r Fl

r1HE TERM CATAkRH Is AP.
4 piled to peculiar disorder of the
nostrils and adjacent parts, which prevails
to an alarming extent and is productive Of
very serious consequences.
The most prominent and Characteristic
features is morbid discharge from the
head, varying in its nature at different
times.
In some there is an almost con ustant flow
of clear, acid huid, bnt oftener an offensive,
purulent, or muco.purulent, gfeenish-yel.
low matter is secreted. which accumulates
in the nostrils or drops into the throat,
necessitating its frequent removal by blow.
lug the hose or expectoration, and often by
bosh processes. Sometimes patients feel as
though their whole head was in state of
rottenness, so great is the amount of matter
discharged and so fetid is Its odor. The
patient is greatly annoyed by the constant
dropping into the throat of the morbid
| matter from the head, and as recumbeni
position naturally favors the flow down
wa. d, his rest is frequently disturbed from
this cause. Many sufferers are obliged to
lie with the head very much elevated in
order to sleep with some degree OF com
| fort.
| In others q tough, vscid and offe nsiye
| phlegm collects benind and above the soft
| palate, in the passage between the throat
and head, adherlng to the parts with gluisn
tenacity Its lOdgment embarrasses respi-
| ration aud creates a sensation of irritation
and uneasiness in the affected locality,
| which gives rise to q constant and almos.
| desire 10 rGlleNG tne 0lscOmIOrl
| by drawing the mucous into the throat so as
| to eject II by the mouth. This practice,
popularly known as hawking" +" is charae
teristic OF catarrh, and proves as embar.
| RAISING to the one affected as 1t is disagree.
| able to those around him
Again, the offensive matter hardens and
| deposits itself ON the membrane in the
| shane of dry, hard concreions, which are
| discharged by way of the nos'rils or throat
in Jumps or fragments of a deep green tint.
| In some cases these incrustatiOns accumU.
| late to such an extent as to form regular
| plug in the nose. which obstructs breathing
| and produces serious discomfort. So firmly
do these incrustations adhere 10 the point
OF attachment that their removal u ually
| erquires the most violent efforts; not unfre
queutly they have to be torn from the mem.
| brane. Occasionally solid cast OF notable
size is expelled, on which there are gener
ally traces of blood, but in some cases the
cast presents tubular appearance, being
of exact shape of the nasal cavity. This
condition Is indicative of liberation, which
in time may destroy the bony structure of
the nose and produce subsequent hatten-
ing of that organ.
Cases are occasionally met with In which
thick, viscid, Shiny secretion coats the
membrane of the nasal cavities and then
putrihes, giving rise to a stencil which is
really overpoWering aud sufficiently fetid
to poison the atmosphere OF a whole room
and there are others in which all the secre-
tions of the membrane are suspended, caus.
ing an unpleasant feeling of dryness, hea,
and feverishness in the head and noses
condition popularity known as DRY Ca
tarrh."
The disease speedily extends to the air
cavities OF the bones OF the forehead and
face. giving rise to a distressing sensation
OF heavy weight or compression over the
forehead, especially in the region above
snd between the eyes, and to feeling o!
fullness, hest. irritation, soreness or pain
in the nostrils near the root of the nose,.i
well as in the upper partof the throat, above
| onh hehf off lott ,nff
there is pain obstinately fixed in some par.
ticulaI part, as in the temple, on the top o.
the head, at the back of the neck, or behind
the orbits, and occasionally pain maniiests
itself in the face of so severe character
that 1t is frequently mistaken for neuralgia
The breath is always tainted and at times
assumes an exceeding fetid aud sickening
odor. In some cases it becomes so revolt
| ingly offensive as to render the sufferer
} an object of disgust to himself as well as to
others.
The nasal membrane is thickenea and
congested, causing the nose TO be stopped
} up. sometimes on one side, sometimes on
the other, and often on both, giving ris G to
a disagreeable stuffy sensation in the head
} and occasioning violent and prUlonhsd
paroxysms of sneeZing.
} The voice is weak, indistinct and husky,
} or of a nasal Character, displaying a sort OF
shifting quality. Oftentimes there is con.
} tinuous hoarseness and discorGance. There
is also sense OF irritation in the throat
} and frequent attempts to clear the parts o,
phlegm, producing the sound "hem" more
} or less forcibly. In some cases patients
complain of an uncomfortable feeling OF
fullness. or choky sensation in the throat
} aud in others of distressing and almost
} constant dryness, for the temporary relief
OF which they have to swallow frequently.
} Others. again, speak of constant bad OF
nauseous taste in the mouth or throat.
} The stomach generally suffers more or
less and becomes weak and irritable; the
} appetite is capricious and nearly always bad
in the morning The patient Is languid, un-
} able to perform mental or physical labor
J with the usual facility; is nervous, de-
pressed in spirits, at times fearful, timid,
J sgitated and inclined to drowsiness and
sleep, the memory weakened and permaa-
J ent impairment threatened
The nluous membrane soon becomes NOR
, bidly sensitive to unfavorable influences
snd in spite OF the utmost care becomes af.
] ieeted from the slightest causes, SO that at
last breath OF wind pom the lining of the
nose or throat becomes productive OF cold,
and gives rise to serious disturbances OF the
respiratory organs. Thus the patient is sub
lect to frequent and repeated colds, each
attack aggravating the disease by giving 1t
a new impulse and involving a larger ex.
tent or surface than Its predecessor. In this
manner the difficulty spreads from organ to
organ, invading the throat, larynx. trachea
and bronchial tubes, until, encroaching
further and further. it reaches tho finer
ramifications of the bronchi, when but a
slight impulse is required to send it to the
lungs. CdIdTIu may, ana Olteu does, auect
other organs in the body, especially those
containing mucus membrane, such as the
stomach, bowels, kidneys, etc.
BY the employ of proper inhalations
In the form of medicated vapor (not steam
or spray we are able to produce immediate
and direct action upon the diseased surface
In the pharynx and nasal passages. for air
viii hndsits way into the most remote and
intricate cavities. where 1t is utterly impos.
sible to make fluid applications. By these
| means every case can be cured
oZGNA.
| Oz@na Is the professional or technical
name given to the advanced form of catarrh
IN which liberation has eaten through the
membrane lining of the nose to the cartil-
| age or the bone. Amy case of catarrh may
end ia ozHna, but 1t most frequently occurs
10 those who are naturally scrofulous. The
| or through the throat, and is generally OF
| yellcwish or greenish yellow color, freqent.
| ly tinged with blood, and almost always at
| tended by an offensive smell In the Ian.
| guage OF DR.. Wood, OF Philadelphia, "rhe
disease is ore OF the most obdurate and
disagreeable which the physician has to
encounter. In bad cases The breath OF the
him from society and to render him an ob.
lect of disgust even to himself" In some
cases pieces OF bone become separated and
slough off, leaving deep, unhealthy ulcers.
which secrete a bloody matter and are ex.
tremely difficult to heal. After ozoena has
continued for some time the sense of smell
usually becomes impaired and often lost
Deafness is one of the most Common oonse.
9uences. and results from its extension
through the eustachian tnbes to the internal
ear. Pains In the head and over the frontal
slnuses, impalring memory, and even In